THE CANCER CENTER OF SOUTHERN ALABAMA, PA (NPI# 1295828770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295828770 |
| Entity Type | Organization |
| Organization Name | THE CANCER CENTER OF SOUTHERN ALABAMA, PA |
| Practice Address |
3 Mobile Infirmary Cir Ste 306 Mobile AL 36607-3515 |
| Mailing Address |
Po Box 91119 Mobile AL 36691-1119 |
| Practice Telephone | 2515445400 |
| Practice Fax Number | 2514333122 |
| Mailing Telephone | 2515445400 |
| Mailing Fax Number | 2514333122 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | DR. JOHN R RUSSELL (PRESIDENT) |
| Authorized Official Telephone | 2515445400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2085R0001X | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015791 GROUP | 05 | |
| AL | 578302580 GROUP | 05 |
| Street Address |
3 MOBILE INFIRMARY CIR STE 306 |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366887945 | Olivia Claire Ball | Radiology | 5 Mobile Infirmary Cir Ste G805, Mobile, AL 36607-3513 | 2013-05-08 |
| 1528049939 | John R. Russell | Radiology | 5 Mobile Infirmary Cr. Ste. G-805, Mobile Infirmary Radiation Oncology, Mobile, AL 36607-3513 | 2005-11-11 |
| 1033587563 | Imc-radiation Oncology LLC | Radiology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2015-09-15 |
| 1689075954 | Seton Medical Management Inc. | Radiology | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2014-09-05 |
| 1902244114 | James Orey Galle | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2013-06-10 |
| 1649405028 | Weisi Yan | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2009-05-28 |
| 1578629556 | Southern Cancer Center, PC | Radiology | 6701 Airport Blvd, Mobile, AL 36608-6705 | 2006-12-28 |
| 1770597353 | Robert A Gilbert | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-07-28 |
| 1003820697 | Frank James Pitruzzello | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2006-07-28 |
| 1336174242 | Roger Ove | Radiology | 1660 Spring Hill Ave, University of South Alabama Mitchell Cancer Institute, Mobile, AL 36604-1405 | 2006-07-11 |
| Find all providers in MOBILE | ||||
Please comment or provide details below to improve the information on THE CANCER CENTER OF SOUTHERN ALABAMA, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.